Provider Demographics
NPI:1225367360
Name:PROGRESS WEST HEALTHCARE CENTER
Entity Type:Organization
Organization Name:PROGRESS WEST HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWAEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-344-1116
Mailing Address - Street 1:TWO PROGRESS POINT PARKWAY
Mailing Address - Street 2:
Mailing Address - City:O'FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368
Mailing Address - Country:US
Mailing Address - Phone:636-344-1000
Mailing Address - Fax:314-996-3610
Practice Address - Street 1:TWO PROGRESS POINT PARKWAY
Practice Address - Street 2:
Practice Address - City:O'FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368
Practice Address - Country:US
Practice Address - Phone:636-344-1000
Practice Address - Fax:314-996-3610
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROGRESS WEST HEALTHCARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO502-2282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital